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Maximising Health Gains through the Use of Structural Funds

Maximising Health Gains through the Use of Structural Funds. Ana Boned-Ombuena DG SANCO Health Strategy and Health Systems Unit September 2008. Overview. Challenges in the health sector EU Health Strategy, 2008-2013 Investing in Health in the regions. Strategic challenges.

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Maximising Health Gains through the Use of Structural Funds

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  1. Maximising Health Gains through the Use of Structural Funds Ana Boned-Ombuena DG SANCOHealth Strategy and Health Systems Unit September 2008

  2. Overview • Challenges in the health sector • EU Health Strategy, 2008-2013 • Investing in Health in the regions

  3. Strategic challenges Health investments through Structural Funds etc Projects funded Cross-sectoral work Health information and Health Portal Interactions with WHO ECDC Organ Donation White paper on Nutrition Communication on Alcohol Tobacco control strategy Pharmaceutical Forum Health Services Initiative

  4. Why a Strategy To ensure the EU is doing all it can to respond to Health challenges by: • Providing objectives, focus, strategic approach • So far many (fragmented) actions and objectives • Bringing different policies together for Health • Ensuring that e.g. Environment, Education, Research, Regional Development policies work for health • Complementing national policy with framework to work together on shared objectives • Implementation mechanism

  5. What is the strategy about • Four Principles • A Value-Driven Approach • Universality, equity, good quality healthcare • Health is Wealth • Health in All Policies • Global Health • Three Objectives • Foster Good Health in an Ageing Europe • Protect Citizens from Health Threats • Dynamic Health Systems & New Technologies

  6. Health inequalities in the EU: BETWEEN countries • Life expectancy at birth (years) for males ranges from 65 (Latvia, Lithuania) to 79 (Sweden), a gap of 14 years • Life expectancy at birth (years) for females ranges from 76 (Bulgaria, Latvia, Romania) to 84 (France, Italy, Spain), a gap of 8 years Source: Rosling H. Gapminder, registered as a Foundation at Stockholm County Administration Board

  7. Health inequalities in the EU:WITHIN countries • The mortality rate due to ischemic heart diseases for women varies 10.5 fold between EU countries • It is 10.5 times higher in Lithuania (267.4 per 100,000 population) than in France (25.5 per 100,000 population)

  8. Health inequalities in the EU:WITHIN countries • The number of practicing physicians per 100,000 population varies almost 2 fold between EU countries. • Belgium (399.5 per 100,000 population) has almost twice as many doctors as Poland (213.9 per 100,000 population)

  9. Health and Wealth: an intricate relationship • Two reciprocal effects: the effect of SES status on health (“social causation”) and the effects of health on SES status (“health selection”)

  10. Working together: implementation • The strategy’s key financial tool is the Health Programme 2008-13 • Other programmes help implement strategy, e.g. Regional Policy instruments and Research Programme (FP7)

  11. Structural Funds 2000-2006 • Health not included as a priority area • Nonetheless, investments in health • ERDF: health infrastructure (such as hospitals) and medical equipment • ESF: training of medical professionals • A certain amount of funding allocated to innovation in the healthcare sector and to cross-border cooperation projects

  12. Structural Funds 2007-2013

  13. Structural Funds 2007-2013 • Additional range of actions to eligible for Structural Funding: • Population ageing • Healthy workforce • Health innovation and research • Knowledge and information technology • Environment

  14. Infrastructure, Innovation Training measures Environment, Transport infrastructure All Member States and regions Member States with a GDP/head below 90% Structural Funds: instruments and objectives 2007-2013 Structural Funds and Cohesion Fund 3 New Objectives Convergence ERDF ESF Cohesion Fund HEALTH HEALTH HEALTH ERDF ESF Regional Competitiveness and Employment HEALTH European territorial Cooperation ERDF

  15. EU Cohesion Policy 2007-2013 Total Budget: EUR 348 Billion (35% of EU-Budget) Of which 82% for Convergence Regions

  16. Structural Funds 2007-2013:Health investments Member States health priorities in NSRFs and OPs (by area of investment)

  17. Structural Funds 2007-2013:Health investments Between 2007 and 2013: • €5.1 billion(1.5% of the total of cohesion policy funding) has been earmarked to support health infrastructure • €5 billion have been earmarked for e-services(including e-health) • €1 billion has been earmarked for active ageing, etc. Health infrastructure: Percentage of planned investments in health infrastructure in relation to the total amount of Structural Funds allocated to Member States in 2007-13. Source: European Commission, Dg SANCO 2007

  18. Maximising Health Gains through the Use of Structural Funds Ana Boned-Ombuena DG SANCOHealth Strategy and Health Systems Unit September 2008

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